摘要:

Bile duct injury is an unusual complication of laparoscopic cholecystectomy. Although the exact incidence is yet to be determined, it does appear to be more common than bile duct injury during open cholecystectomy. Previous publications have attempted to document the incidence of bile duct injuries and methods to prevent it. We reviewed our experience with 11 bile duct injuries from laparoscopic cholecystectomy. Such injuries were manifested by abdominal pain, low-grade fever, and hyperbilirubinemia or biliary fistula. These patients' injuries were treated by using drainage or reexploration and ligation of cystic duct and subcholecystic duct leaks and Roux-en-Y hepaticojejunostomy for common duct strictures and lacerations.

ISSN:1051-7200    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

A 59-year-old woman had symptomatic gallbladder stones. A laparoscopic cholecystectomy was performed using absorbable clips. Eleven weeks later, recent pain in the right upper quadrant and interscapular resulted in an ERCP. This examination demonstrated two Absolok Plus clips migrated in the biliary tract. We question the use of those clips and discuss the migration mechanism.

ISSN:1051-7200    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

During the past decade, the number of laparoscopic procedures performed in the United States, primarily with cholecystectomy, has increased phenomenally. We recently had a patient who developed hypercarbia and cardiovascular compromise during laparoscopic cholecystectomy. The cardiovascular compromise was caused by mechanical factors directly related to increasing intra-abdominal pressures affecting ventilation and venous return as well as the absorption of carbon dioxide (CO2) into the circulation, leading to acidosis and further depression of the cardiopulmonary system. Cardiovascular compromise can be avoided with early recognition of increased end-tidal CO2concentrations and by preventing intra-abdominal pressures from exceeding 16 mm Hg.

ISSN:1051-7200    

出版商:OVID    

年代:1992

数据来源: OVID

ISSN:1051-7200    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

Laparoscopic cholecystectomy has become the procedure of choice for the treatment of symptomatic gallbladder disease. This had led to a flurry of activity and a widespread interest in laparoscopic and thoracoscopic procedures. Both surgical endoscopy and gallbladder surgery had their beginnings in the 1800s. “Modern” surgical endoscopes were first developed in the early 1800s, and cholecystotomy was first performed in Indianapolis, Indiana by Dr. John S. Bobbs. A brief history of endoscopes, endoscopic surgery, and of the first gallbladder operation in the world follows.

ISSN:1051-7200    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

Duodenal and marginal jejunal ulcers respond promptly to vagus section. When a prior gastric drainage procedure has been done, the approach of choice for these ulcers is vagectomy through the left chest. This report describes four patients who were subjected to thoracoscopic vagectomy and had prompt early benefit. A description of our technique is presented.

ISSN:1051-7200    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

Laparoscopic nephrectomy is a new procedure in which the entire kidney is removed via an endoscopic technique using a surgical sack entrapment method in combination with a recently developed high-speed 10-mm electrical tissue morcellator. Since June 25, 1990, this procedure has been successfully accomplished in 16 consecutive patients. The average operating room time was 5.6 h. Two patients received a blood transfusion (one and three units, respectively). The average hospital stay was 4.6 days, and convalescence was completed within an average of 12 days. We believe the methods developed for laparoscopic nephrectomy will allow surgeons in other disciplines to broaden their indications for laparoscopic surgery as the entrapment sack and morcellator can potentially be applied to the removal of many other solid intraabdominal and pelvic tissues.

ISSN:1051-7200    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

Laparoscopy has been an important diagnostic and therapeutic modality in gynecology for several decades. Recently, general surgeons and urologists have adopted laparoscopy to treat many disorders that formerly required an open laparotomy. Laparoscopic surgery requires additional instrumentation and skills as well as familiarity with a number of operative complications unique to laparoscopy. This overview discusses the basic equipment and instrumentation of laparoscopy and describes its possible associated complications.

ISSN:1051-7200    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

Laparoscopic cholecystectomy has proven popular with both surgeons and patients. The rapid adoption of laparoscopic surgery has resulted in a number of new operative complications, including problems related to distension of the peritoneal cavity, a lack of depth perception afforded by the video image, and new instruments used with this technique. Few reports deal with complications associated with laparoscopic biliary tract surgery. This report discusses the problems that have occurred most frequently in my region as well as problems related to me in discussions with other experienced laparoscopic surgeons; it also presents methods of recognizing such injuries and preventing them.

ISSN:1051-7200    

出版商:OVID    

年代:1992

数据来源: OVID

摘要:

Fourteen patients with symptomatic inguinal hernias underwent an-atomic repair, which approximates the transversalis muscle and facia to the iliopubic tract. Polyproprolene mesh was used to obliterate the canal space formerly occupied by the hernia sac. Nine patients were operated on for a direct inguinal hernia, four for an indirect hernia, and one recurrent direct hernia. Two patients required the laparoscopic approach to abandoned in favor of an open method. The remaining 12 patients underwent laparoscopic repair and were discharged within 23 h of the procedure.

ISSN:1051-7200    

出版商:OVID    

年代:1992

数据来源: OVID